Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0004X | Dentist Anesthesiologist | 1425 | CA |
Y | 1223G0001X | General Practice | 55060 | CA |
Y | 213EG0000X | General Practice | 55060 | CA |
N | 1223G0001X | General Practice | 9839 | CO |
N | 213EG0000X | General Practice | 9839 | CO |
NPI | 1750572335 |
---|---|
Provider Name | Stanton Schuler |
First Address | Exeter, CA 93221-1220 |
Second Address | Exeter, CA 93221-1220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2007 |
Last Update Date | 17/03/2018 |